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DETAILS OF DELEGATE
Title:
Mr.( ) Ms ( ) Mrs. ( ) Dr (
) Prof. ( ) If other please specify
(Delete as appropriate)
Name:
...............................................................
Institution:
....................................................................
Mailing Address:
........................................................................................................................................
Phone Home:
............................................................
Office:
.................................................................
Fax:
...................................................................................
E-mail:
.............................................................
I would like to attend the
conference on May 23 ( ), 24 ( ), 25 (
), 2008.
(Multiple selections possible)
Status of attendance:
Participant ( ) Presenter ( )
(If presenter, please attach a 300-word abstract)
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